FormsPublicADA Accommodations → EMPLOYEE REQUEST FOR ADA ACCOMMODATION

EMPLOYEE REQUEST FOR ADA ACCOMMODATION

About this Form

Form number: 270-6

Audience:  MCPS Staff

Last revised: June 2023

Employees should use this form when requesting an accommodation or modification under the Americans with Disabilities Act Amendments Act (ADAAA) of 2008. Employees are highly encouraged to use the electronic version of this form found online. All request and documentations can be email to ADArequests@mcpsmd.org.

Adobe PDF EMPLOYEE REQUEST FOR ADA ACCOMMODATION445 KEnglish

Forms require Adobe Acrobat Reader 8 or higher. Get Acrobat